P Praxis·MD
● Active Type 2 · Organization

Pinecrest Senior Care, Llc

Skilled Nursing Facility·Tyler, TX· NPI 1518413731 · Enumerated 2016 · 9 years on NPI
Pinecrest Senior Care, Llc is 1 of 3272 skilled nursing facility organizations in Texas.
NPI age
9 years
Enumerated 2016-08-28
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bumpass
Member
Last NPPES update
2016-08-28
Source: monthly bulk 2026-05

How this organization compares

Across 3272 active skilled nursing facility providers in Texas.

NPI age
9 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2016 → 2026

2016-08Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
3505 Old Jacksonville Rd
Tyler, TX 75701
📞 2547415929fax 2547415928
Mailing address
Po Box 23648
Waco, TX 76702
📞 2547415929fax 2547415928

Authorized official

Michael Bumpass
Member
📞 2547415929

Individual providers at this organization

16 individual providers on file at this primary practice address.

  • Deslyn Carroll, COTA Occupational Therapy Assistant NPI 1407043672
  • David Cook, LOTA Occupational Therapy Assistant NPI 1730377235
  • Jenna Epperson, PTA Physical Therapy Assistant NPI 1417149451
  • Lisa Fletcher Occupational Therapy Assistant NPI 1952794794
  • Anita Foy, COTA Occupational Therapy Assistant NPI 1669664546
  • Deneicia Gasaway, COTA Occupational Therapy Assistant NPI 1033414008
  • Syed Hasan, MS-CCC-SLP Speech-Language Pathologist NPI 1720380884
  • Jose Ibarra, OTR Occupational Therapist NPI 1073700753
  • Karen Johnson, M.A., CCC-SLP Speech-Language Pathologist NPI 1598938854
  • Becky Jones, COTA Community Health Worker NPI 1578707121
  • Mechelle Jones, MS Speech-Language Pathologist NPI 1578755500
  • Richa Kohli Physical Therapist NPI 1770064669
  • Dennis Kress, PTA Physical Therapy Assistant NPI 1982896965
  • Beasley Terry, COTA Occupational Therapy Assistant NPI 1255515656
  • Raymond Toro, PTA Physical Therapy Assistant NPI 1720251069
  • Jessica Vass, PTA Physical Therapy Assistant NPI 1013169465

Specialties

  • Skilled Nursing Facility Primary
    (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
    taxonomy 314000000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Pinecrest Nursing and Rehabilitation Center
    Type code 3 recorded 2016-08-28

Practice context

Multi-provider organization. 16 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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